NPIMap

Individual provider Active NPI

Kevin W. Wolfe, MD

  • Pulmonary Disease Physician
  • Boone, NC
National Provider Identifier
1194747105
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
2007-01896 Issued in NC
Practice address
136 Furman Rd
Suite 6
Boone, NC 28607-5038
Phone
(828) 268-1185
Fax
(828) 265-8522
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 2007-01896 NC Primary

Addresses

Primary practice location

136 Furman Rd
Suite 6
Boone, NC 28607-5038

Mailing address

136 Furman Rd
Suite 6
Boone, NC 28607-5038
Phone (828) 268-1185

Other identifiers 4

IdentifierTypeStateIssuer
048608600MedicaidFL
000488518BOtherGAMEDICAID OF GEORGIA
07168UOtherFLBCBS OF FLORIDA
4102501OtherFLAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080129000365 NC Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 8022914381 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Indiana University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Watauga Medical Center IncGroup PAC ID 2668377474, 95 clinicians

Practice addresses (Care Compare)

336 Deerfield Rd
Boone, NC 28607-5008
Phone (828) 264-9664

434 Hospital Dr
Linville, NC 28646-0787
Phone (828) 737-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2007-01896NCMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Watauga Medical Center Inc Current Accepting new patients
Charles a. Cannon, Jr. Memorial Hospital, Inc. Current Accepting new patients
Watauga Medical Center Inc Pulmonary Disease CurrentSince Mar 1, 2020 Accepting new patients
Watauga Medical Center, Inc. Past Accepting new patients
North Florida Chest Physicians PA Pulmonary Disease PastSince Oct 1, 1990 Accepting new patients
Orange Park Hospitalists LLC PastSince Sep 1, 2003 Accepting new patients
North Florida Hospitalists LLC PastSince Jul 15, 2002 Accepting new patients

Locations

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

194 Doctors Dr
Boone, NC 28607
Phone (828) 264-1100

155 Furman Rd
Ste 101
Boone, NC 28607
Phone (828) 262-4111

Interoperability endpoints

  • Direct secure messaging: kwolfe201519@direct.unc.nchie.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1194747105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 FURMAN RD",
            "address_2": "SUITE 6",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075038",
            "telephone_number": "828-268-1185",
            "fax_number": "828-265-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 FURMAN RD",
            "address_2": "SUITE 6",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075038",
            "telephone_number": "828-268-1185",
            "fax_number": "828-265-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "KEVIN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "2007-01896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048608600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID OF GEORGIA",
            "identifier": "000488518B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "07168U",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4102501",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.